- Geisinger (Danville, PA)
- …state and federal law enforcement and regulatory partners. Provides executive management with reimbursement or recovery recommendations based on PI team's review ... of claims for appropriate coding, billed statistics, policies, industry standards...with contractual, state, and federal regulation. Responsible for the management of the SIU and Program Integrity teams, their… more
- The Cigna Group (Bloomfield, CT)
- …**Nice to Have** + Prior **PBM/specialty pharmacy** platform knowledge (eg, claims /benefit management , care coordination, specialty workflows). + Earlier ... Risk & Compliance** : Integrate **CIP** standards (eg, change management , supplier security, data handling) into architecture guardrails and developer‑facing… more
- AIG (New York, NY)
- …multichannel distribution network. Customers value AIG's strong capital position, extensive risk management and claims experience and its ability to be a ... accounting systems as it relates to invested assets, and management of the risks, controls and AIG audit as...skills; ability to communicate effectively with staff, peers, senior management and other external and internal audiences + Computer… more
- The Estee Lauder Companies (New York, NY)
- …consumer segment (ie Multi Ethnic Millennials) relevant and deliver clear communication of claims & benefits + Identify and validate trends and develop a deliberate ... COG analysis, provide strategic pricing input and ensure SKU management across the brand's product portfolio + Prepare and...+ Partner closely with Human Resources to evaluate Talent Management and Talent Attraction strategy + Identify key skills… more
- AIG (Wilton, CT)
- …of existing constraints + Position has high visibility at department senior management level and interacts with various levels of internal and external individuals ... + Advanced knowledge of Property & Casualty reinsurance including underwriting, claims , accounting, finance, and associated process, controls, and systems. + 10+… more
- Kyndryl (New York, NY)
- …for oversight of delivery, ensuring high performance and customer satisfaction Leadership, Management , People + Lead by example; Fostering a culture of continuous ... programs across Insurance clients in areas such as operational excellence, claims automation, risk mitigation and technology modernization + In depth experience… more
- WellSpan Health (York, PA)
- …objectives of the entity. + Provides guidance and expertise to employees and management in resolving complex Human Resources issues. + Along with entity senior ... manner by reducing risk and preventing litigation or costly employee relations claims . + May provide direct supervision to Human Resources Business Partners. +… more
- Centene Corporation (Tallahassee, FL)
- …expertise in areas such as process improvement (end to end), vendor management , technology and scalability. + **Own and manage** the end-to-end provider attribution ... business needs. + **Design and maintain** attribution models based on claims data, member selection, contractual arrangements, and regulatory requirements. +… more
- WellSpan Health (Chambersburg, PA)
- …objectives of the entity. + Provides guidance and expertise to employees and management in resolving complex Human Resources issues. + Along with entity senior ... manner by reducing risk and preventing litigation or costly employee relations claims . + May provide direct supervision to Human Resources Business Partners. +… more
- Molina Healthcare (Chandler, AZ)
- …business and other IT teams to deliver successful and certifiable Medicaid Management Information Systems solutions. * Works closely with EPMO, business stakeholders ... **Required Experience** 7-9 years Application Design, Development Experience and, Management , Healthcare Industry **Preferred Experience** 10+ years, Healthcare Industry… more